Active NPIIndividual providerSole proprietor

Dr. Sanford M Portnoy, PHD

Psychologist in Waban, Massachusetts

NPI Number1467545798
Practice location
35 Helene RD, Waban, MA 02468-1024
Fax
617-527-3538
Last updated
July 8, 2007

Sanford Marvin Portnoy is a Psychologist based in Waban, MA. Sanford Marvin Portnoy practices in Waban, MA and has the professional credentials of PHD. The NPI Number for Sanford Marvin Portnoy is 1467545798 and holds a License No. 278 (MA). The current practice location address for Sanford Marvin Portnoy is 35 Helene RD, Waban, MA 02468-1024 and can be reached out via phone at 617-965-2147 and via fax at 617-527-3538.

Provider Profile Details

NPI Number
1467545798
Provider Name
Sanford Marvin Portnoy
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
35 Helene RD, Waban, MA 02468-1024
Phone Number
617-965-2147
Fax Number
617-527-3538
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Helene RD
Waban, MA 02468-1024
City
Waban
Zip
02468-1024
Phone Number
617-965-2147
Fax Number
617-527-3538
Waban, MA 02468Get directions →

Provider Business Mailing Address Details

Address
35 Helene RD
Waban, MA 02468-1024
City
Waban
State
MA
Zip
02468-1024

License Information

License Number
278
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sanford M Portnoy, PHD?

The NPI number of Dr. Sanford M Portnoy, PHD is 1467545798. It was assigned on September 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sanford M Portnoy, PHD?

Dr. Sanford M Portnoy, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 278.

Where does Dr. Sanford M Portnoy, PHD practice?

The practice location is 35 Helene RD, Waban, MA 02468-1024. The office can be reached at 617-965-2147 (phone) or 617-527-3538 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467545798 directly on the NPPES registry website.

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